ABSTRACT Objective: Assess the history of pain and dental care before and during the COVID-19 pandemic, as well as the resolution of the dental problems in individuals with ASD from the perspective of caregivers. Methods: Caregivers from three associations of individuals with ASD in the state of Rio Grande do Sul were invited to answer an online questionnaire. They answered questions distributed into three sections: I) identification data of the patient with ASD and his caregiver; II) perception of dental access before the pandemic (until March/2020) and III) perception of dental access during the pandemic (March/2020 until 2022). Data were tabulated into a Microsoft Excel spreadsheet and analyzed using descriptive statistics. Results: Of the 473 caregivers for individuals with ASD in the contacted groups, 72 (15.2%) responded to the survey and were included in this study. Before the COVID-19 pandemic, individuals with ASD had experienced dental pain (23.7%). Twelve of these (70.6%) allowed dental care, according to the caregivers’ reports. Regarding the experience of pain during the pandemic, 20 individuals with ASD (27.8%) felt pain, and 17 of them had also experienced pain before the pandemic. Conclusion: The difficulty of dental access faced by families and individuals with ASD is a reality, and the persistence of dental pain history was similar before and during the COVID-19 pandemic. The preference for services in the public sector prevailed; however, the majority did not find a resolution to their issues, emphasizing the need for improvements in oral health care for this population.

RESUMO Objetivo: avaliar a história de dor e de atendimento odontológico antes e durante a pandemia da COVID-19, assim como a resolutividade do problema odontológico em indivíduos com TEA sob a percepção dos cuidadores. Métodos: Cuidadores de indivíduos com TEA do estado do Rio Grande do Sul responderam a um formulário online. Responderam questões distribuídas em blocos sobre: I) dados de identificação do paciente com TEA e de seu cuidador; II) relato de acesso odontológico antes da pandemia (até março/2020) e III) relato de acesso odontológico durante a pandemia (março/2020 até 2022). Os dados foram tabulados e digitados em uma planilha do Microsoft Excel e analisados por meio de estatística descritiva. Resultados: dos 473 responsáveis por indivíduos com TEA que participavam dos grupos, 72 (15,2%) responderam à pesquisa e foram incluídos neste estudo. Antes da pandemia, 17 indivíduos com TEA haviam sentido dor de origem odontológica (23,7%). Desses, 12 (70,6%) permitiram o atendimento odontológico, segundo o relato dos familiares. Em relação à experiência de dor durante a pandemia, 20 indivíduos (27,8%) sentiram dor, sendo que 17 deles também haviam sentido dor antes da pandemia. Conclusão: a dificuldade de acesso odontológico enfrentada por famílias e indivíduos com TEA é uma realidade, e a persistência da história de dor odontológica foram semelhantes antes e durante a pandemia. Entre aqueles que buscaram atendimento, prevaleceu a procura pelo serviço na rede pública, e a maioria não teve a resolução de seus problemas, destacando a necessidade de melhorias no sistema de saúde bucal para essa população.

Abstract Caries disease can lead to strong impact in terms of pain and suffering, to functional impairment, and to negative effects on quality of life. Studies have demonstrated that the impact on quality of life increases with dental caries severity, and few studies have assessed the relationship between caries activity and children’s oral health-related quality of life (OHRQoL). This cross-sectional study aimed to assess the impact of dental caries severity and activity on the OHRQoL of schoolchildren. The study was conducted with a sample of children aged 8 to 11 years from Pelotas, southern Brazil. Children answered the Child Perceptions Questionnaire 8–10, and socioeconomic data were collected. Children’s dental caries (Kappa value of 0.95), PUFA, traumatic dental injuries, and malocclusion were examined. The Mann-Whitney, Kruskal-Wallis, and Poisson regression tests were performed. A total of 119 children were included. Children with initial (mean ratio (MR) of 1.92; 95% confidence interval (95% CI) of 1.05–3.48), moderate (MR: 2.66; 95%CI: 1.44–4.90), and severe carious lesions (MR: 2.65; 95%CI: 1.46–4.79) had a greater impact on OHRQoL compared with those without carious lesions (p =0 .047). Children with active carious lesions exhibited a greater impact on OHRQoL (MR:1.53 and 95%CI: 1.11–2.11) when compared to those without active lesions (p = 0.019). The findings demonstrate an association between dental caries severity and activity and the OHRQoL of school-aged children. suffering impairment childrens s healthrelated health related OHRQoL. . (OHRQoL) crosssectional cross sectional schoolchildren 1 Pelotas Brazil 810 10 8–10 collected Childrens Kappa 0.95, 095 0.95 , 0 95 0.95) PUFA injuries examined MannWhitney, MannWhitney Mann Whitney, Whitney Mann-Whitney KruskalWallis, KruskalWallis Kruskal Wallis, Wallis Kruskal-Wallis performed included mean MR (MR 1.92 192 92 (95 CI 1.05–3.48, 105348 1.05–3.48 05 3 48 1.05–3.48) 2.66 266 2 66 95%CI 95CI 1.44–4.90, 144490 1.44–4.90 44 4 90 1.44–4.90) 2.65 265 65 1.46–4.79 146479 46 79 p .047. 047 .047 .047) MR1.53 MR153 1.53 53 (MR:1.5 1.11–2.11 111211 0.019. 0019 0.019 019 0.019) schoolaged school (OHRQoL 81 8–1 09 0.9 9 1.9 19 (9 10534 1.05–3.4 2.6 26 6 14449 1.44–4.9 1.46–4.7 14647 7 04 .04 MR1 MR1.5 MR15 153 1.5 5 (MR:1. 1.11–2.1 11121 001 0.01 01 8– 0. 1. ( 1053 1.05–3. 2. 1444 1.44–4. 1.46–4. 1464 .0 MR1. 15 (MR:1 1.11–2. 1112 00 0.0 105 1.05–3 144 1.44–4 1.46–4 146 1.11–2 111 1.05– 14 1.44– 1.46– 1.11– 1.05 1.44 1.46 1.11 1.0 1.4 1.1

<p>O objetivo deste estudo foi revisar na literatura estudos que abordem formas de realização de promoção de saúde e prevenção de doenças bucais para pacientes com deficiência visual. Foi realizada revisão sistemática da literatura nas bases de dados <italic>PubMed Central</italic>, Biblioteca Virtual de Saúde (BVS) e Scopus, sem limite de data de publicação. Foram incluídos ensaios clínicos nas línguas inglesa, portuguesa e espanhola, com algum tipo de intervenção de promoção de saúde bucal voltada para deficientes visuais totais ou parciais. Os artigos foram selecionados e os dados extraídos pelos autores. A busca resultou em 688 artigos dos sites <italic>PubMed,</italic>BVS e <italic>Scopus</italic>. Foram eliminados 303 artigos repetidos e, dentre os demais, selecionados nove que abordavam o tema desta revisão. As datas de publicação dos estudos variaram de 1991 a 2013. O total de deficientes visuais participantes destes estudos foi de 431 com idades entre seis e 49 anos. Todas as intervenções educativas foram efetivas e realizadas por odontólogos. A orientação verbal foi o recurso educativo mais utilizado Os resultados encontrados nos estudos deixam clara a necessidade e importância da implantação de estratégias de educação em saúde bucal para essa população. Programas de orientação de higiene bucal envolvendo recursos adaptados e comunicação verbal são efetivos no estabelecimento de uma rotina de higiene adequada, agregando conhecimento aos pacientes e seus familiares e resultando em melhora nos índices de saúde bucal.</p>

<p>The aim of this study was to review the literature about oral health promotion and oral disease prevention for patients with visual impairment. A systematic literature review was conducted using <italic>PubMed Central</italic>, BVS (Virtual Health Library) and Scopus without restriction for publication date. Clinical trials in English, Portuguese and Spanish that presented any oral health promotion intervention targeting people with visual impairments were included. The articles were selected and data extracted by author. The search resulted in 688 articles from the PubMed, BVS and Scopus websites. Three hundred and three repeated items were eliminated and, among the others, 9 that addressed the topic of this review were selected. The publication dates of the studies ranged from 1991 to 2013. The total number of visually impaired participants of these studies was 431, aged 6 to 49 years. All educational interventions were effective and performed by dentists. The verbal guidance was the most used educational resource. The results demonstrated the need and importance of implementing strategies for oral health education for this population. Oral hygiene orientation programs involving tailored resources and verbal communication are effective in establishing a routine for proper hygiene, providing knowledge to patients and their families, with improvement in oral health indices.</p>

Introdução A doença cárie e as alterações periodontais são problemas frequentemente encontrados em pacientes com deficiência. Objetivo Avaliar as condições periodontais e de higiene bucal em escolares com deficiência neuropsicomotora matriculados em um centro de reabilitação. Método A pesquisa envolveu entrevista com os responsáveis e exame clínico do escolar, para registro do índice de placa e do índice de sangramento. Após o exame, foi realizada profilaxia profissional, orientação de higiene bucal e esclarecimento de dúvidas. Os dados foram observados por meio de estatística descritiva. Resultado A amostra foi constituída por 41 escolares com deficiência neuropsicomotora, com idades entre sete e 14 anos, sendo 20 do sexo feminino (48,8%) e 21 do sexo masculino (51,2%), e com idade média de 10,8 anos. A maioria dos pacientes tinha a figura da mãe como principal cuidador (85%). Observou-se que 71% dos escolares necessitavam de ajuda para realizar a higiene bucal e quase 40% dos cuidadores apresentavam dificuldade para realizá-la, principalmente pelo fato de o paciente “não abrir a boca”. Quase a totalidade dos escolares não usava fio dental. Constatou-se, ainda, que 87,2% apresentaram sangramento gengival à sondagem e que, em 84,7%, verificou-se índice de placa maior ou igual a ‘2’. Conclusão Concluiu-se que os escolares com deficiência neuropsicomotora incluídos neste estudo apresentaram condições periodontais e de higiene bucal insatisfatórias, demonstrando a necessidade de serem instituídas ações preventivas focadas na orientação aos pacientes e cuidadores, para a efetividade da higiene bucal.

Introduction Caries and periodontal disease are problems frequently affecting patients with disabilities. Objective In this study we aim to evaluate the periodontal conditions and the oral hygiene in students with neuropsychomotor disorders enrolled in a rehabilitation center. Method Data collect was based in interview with the responsible and the scholar's clinical exam to register the plaque index and the bleeding index. After the clinical exam were performed professional prophylaxis, oral hygiene orientation and explanation of doubts. Result The sample consisted of 41 students with neuropsychomotor disabilities, with ages among 7 and 14 years, 20 females (48.8%) and 21 males (51.2%) with a mean age of 10.8 years. Most patients had the figure of the mother as primary caregiver (85%). It was observed that 71% of students need help in performing oral hygiene and nearly 40% of caregivers had difficulty doing it, in most of the cases because the patient "did not open his mouth". Almost the totality of the students doesn't use dental floss. It was also found that 87.2% had gingival bleeding and 84.7% had the plaque index greater or equal to 2. Conclusion It was concluded that disabled students included in this study had bad periodontal conditions and poor oral hygiene. It shows the need of preventive programs to guide themselves and the caregivers, seeking for effectiveness of oral hygiene.